| NPI | 1841783685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5151010744) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.014811) |
| 207P00000X Emergency Medicine (Licence: MI 5101025941) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2021-04-12 |