| NPI | 1871611418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.121957) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MI 4301085854) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301085854) | |
| 207P00000X Emergency Medicine (Licence: MI 4301085854) | |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: PA MD442157) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2013-08-16 |