| NPI | 1326214313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MN 57182) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 57182) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2019-01-22 |