| NPI | 1104213164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: MI 5101021815) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34013380) |
| 208000000X Pediatrics (Licence: MI 5101021815) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2022-11-07 |