| NPI | 1538517321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-147634) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125-069304) |
| 207P00000X Emergency Medicine (Licence: MI 5101025259) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2021-09-01 |