| NPI | 1306854252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036124379) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX N0739) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MI 5101015424) | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-07-21 |