| NPI | 1033520804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-148927) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301105164) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301105164) | |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2022-06-02 |