| NPI | 1407414030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: MI 4351045081) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351045081) |
| 208000000X Pediatrics (Licence: MI 4351045081) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2023-06-05 |