| NPI | 1558921049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 317381) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101026199) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5151013917) | |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2022-07-18 |