| NPI | 1649790809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MS 27801) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125071063) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2020-07-01 |