| NPI | 1982053567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR DO211186) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5101022570) |
| 207P00000X Emergency Medicine (Licence: IL 036149535) | |
| 207P00000X Emergency Medicine (Licence: MI 5101022570) | |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2022-07-18 |