| NPI | 1144429143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101022242) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IA 001827) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2019-07-22 |