| NPI | 1215390455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.141356) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301500857) |
| 207P00000X Emergency Medicine (Licence: MI 4351037703) | |
| 207P00000X Emergency Medicine (Licence: MI 5315083941) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2021-07-16 |