| NPI | 1376097758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 311632) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125.068935) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2019-07-23 |