| NPI | 1316112717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036142974) |
| Additional Taxonomies | 146M00000X Emergency Medical Technician, Intermediate (Licence: NY 243839-1) |
| 207P00000X Emergency Medicine (Licence: IN 01088969A) | |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2022-11-07 |