| NPI | 1861133134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MA PHY106239) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI DO01431) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207P00000X Emergency Medicine (Licence: MA PHY106239) | |
| Enumeration Date | 2022-04-02 |
| Last Update Date | 2026-04-21 |