| NPI | 1043412588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 51759) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301088156) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301088156) | |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2021-02-08 |