| NPI | 1750602546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA DO-05098) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101018846) |
| 207P00000X Emergency Medicine (Licence: IN 02004202A) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5101018846) | |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2019-12-28 |