| NPI | 1346778834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2020-03056) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101024635) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5101023259) | |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2024-04-22 |