| NPI | 1710247291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0102204142) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101019919) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5101019919) | |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2021-11-09 |