| NPI | 1881958676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME122812) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN17587) |
| 207P00000X Emergency Medicine (Licence: NY 278905-1) | |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2016-07-01 |