| NPI | 1780884114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD449066) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 46450) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2022-04-08 |