| NPI | 1730589300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ R3766) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085005134) |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2022-06-15 |