| NPI | 1568657179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036120567) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: IL 125049111) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2016-09-07 |