| NPI | 1083639405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-099792) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD-066453-L) |
| 207P00000X Emergency Medicine (Licence: MD D0059058) | |
| 207P00000X Emergency Medicine (Licence: VA 0101232438) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2008-04-18 |