| NPI | 1114580941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A19950) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 19950) |
| 207P00000X Emergency Medicine (Licence: MI 5101025638) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2022-07-18 |