| NPI | 1851753800 |
|---|---|
| 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 4301501574) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2020-05-08 |