| NPI | 1144711953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301503723) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036.171503) |
| 207P00000X Emergency Medicine (Licence: IA MD-53757) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2024-11-13 |