| NPI | 1487159638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301506421) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 37966) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MI 4301506421) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2023-04-26 |