| NPI | 1861994055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR DO224207) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101027806) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2025-05-08 |