| NPI | 1003179466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 125-060977) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 64494) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2015-09-21 |