| NPI | 1679837819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MT 36937) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125-061504) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2015-07-24 |