| NPI | 1578823324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02005805A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101019980) |
| 207P00000X Emergency Medicine (Licence: TX q4470) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5101019980) | |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2022-01-11 |