| NPI | 1700067816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301100646) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 289011) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2017-08-03 |