| NPI | 1013034685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD60271620) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301088055) |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: MI 4301088055) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301088055) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2012-08-13 |