| NPI | 1679760045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS12892) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125049751) |
| 207Q00000X Family Medicine (Licence: IL 125049751) | |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2020-02-27 |