| NPI | 1396911418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036129774) |
| 207P00000X Emergency Medicine (Licence: OH 34.010384) | |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2022-08-19 |