NPI | 1053454926 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 085-002895) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.002895) |
Enumeration Date | 2007-02-14 |
Last Update Date | 2009-04-28 |