| NPI | 1659478436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO 50851) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036.119966) |
| 207P00000X Emergency Medicine (Licence: MO 2011040062) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2015-05-11 |