| NPI | 1699269985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 312078) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125.072500) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2022-09-24 |