| NPI | 1336676253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171000000X Military Health Care Provider |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036180882) |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2026-10-01 |