| NPI | 1578982351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PS0010X Emergency Medicine, Sports Medicine (Licence: SC 83384) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101020973) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2023-03-07 |