| NPI | 1871857565 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.143060)  | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 2828461)  | 
| 207P00000X Emergency Medicine (Licence: CA A141508)  | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-06-27 | 
| Last Update Date | 2018-03-17 |