| NPI | 1730615204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME149328) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA11598600) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2022-10-03 |