| NPI | 1700306289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 303883) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125.070409) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2025-11-12 |