| NPI | 1164814273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 34013849) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101021758) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2019-07-08 |