| NPI | 1639708316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301511219) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.148321) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-04-05 |
| Last Update Date | 2025-02-10 |