| NPI | 1376956680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301105444) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301105444) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2018-07-31 |