| NPI | 1326437112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 72534) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036152629) |
| 282N00000X General Acute Care Hospital | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL Y000-4349-0896) | |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2023-02-15 |