| NPI | 1760648448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX R0076) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125054110) |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2022-07-21 |