| NPI | 1154551794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036130547) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2020036829) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125056729) | |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2022-07-21 |