NPI | 1124699475 |
---|---|
Former Name | DEBORAH SHIMSHONI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME167860) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN32848) |
Enumeration Date | 2021-07-08 |
Last Update Date | 2025-01-03 |