| NPI | 1184002602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301502008) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.133980) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-05-16 |
| Last Update Date | 2021-09-08 |