| NPI | 1063816684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301110346) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301110346) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2021-12-17 |