| NPI | 1881805273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO CO45870) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0101240655) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2007-11-09 |