| NPI | 1013352582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 65586) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101020472) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5101020472) | |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2024-04-10 |