| NPI | 1205255015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101262824) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.130657) |
| 207P00000X Emergency Medicine (Licence: OH 57.024658) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2018-06-05 |