| NPI | 1265663413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 56856-21) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125.055956) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2025-12-03 |