| NPI | 1861830507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 65861) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101020614) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5101020614) | |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2022-09-02 |