| NPI | 1942437314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN MD0000046865) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX P2296) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2016-08-05 |