| NPI | 1821527854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 34.014926) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 308734) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA oT017748) | |
| Enumeration Date | 2017-06-04 |
| Last Update Date | 2021-05-18 |