| NPI | 1326427964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX R5687) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101021786) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5101021786) | |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2023-09-07 |