| NPI | 1871942771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 65442) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 23147) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2024-01-31 |