| NPI | 1790002848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 052903) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: CT 52903) | |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2016-07-29 |