| NPI | 1619504461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 336.125510) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036169577) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2024-06-26 |