| NPI | 1780947200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX S7212) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125-061099) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2020-10-15 |