| NPI | 1962559856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 41667) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207P00000X Emergency Medicine (Licence: MD D65965) | |
| 207P00000X Emergency Medicine (Licence: NM MD2011-0536) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2022-11-16 |