| NPI | 1316175987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301094757) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301094757) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2021-06-24 |