| NPI | 1841496692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 41994) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207P00000X Emergency Medicine (Licence: KY 41994) | |
| 207P00000X Emergency Medicine (Licence: FL 111032) | |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2015-06-29 |