| NPI | 1467773929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MI 4301096567) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301096567) |
| 208000000X Pediatrics (Licence: MI 4301096567) | |
| 207P00000X Emergency Medicine (Licence: MI 4301096567) | |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2017-09-01 |