| NPI | 1720493455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: IL 036-150874) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-150874) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2023-02-09 |