| NPI | 1659573749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036150816) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 237221) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2021-09-15 |