| NPI | 1235639261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 125.082020) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2023-07-28 |