| NPI | 1376722892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD439755) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036.119481) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2010-11-23 |