| NPI | 1184827560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SD 7270) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301085735) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301085735) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2013-04-17 |