| NPI | 1669748745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101019865) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2021-12-16 |