| NPI | 1982043725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 91498) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA10344400) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2026-04-09 |