| NPI | 1043605678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 74693) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 57.025861) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 74693) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2022-04-05 |