| NPI | 1457797250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 18975) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301102870) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301102870) | |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2019-08-13 |