| NPI | 1174775449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 265780-1) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125-064394) |
| 207R00000X Internal Medicine (Licence: IL 125-064394) | |
| 207P00000X Emergency Medicine (Licence: CA A111025) | |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2012-08-12 |