| NPI | 1225774771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ND PT22447) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5151015794APP22) |
| 207P00000X Emergency Medicine (Licence: MI 5101028052) | |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2025-09-23 |