| NPI | 1760688592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-125363) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301089911) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2012-04-02 |