| NPI | 1730540915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 305279) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 66628) |
| 207P00000X Emergency Medicine (Licence: OH 34.014264) | |
| 207P00000X Emergency Medicine (Licence: NH 20836) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2021-12-07 |