| NPI | 1861707457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME-119966) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PR 20857) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 12,636 - I) | |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2024-06-17 |