| NPI | 1790005122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036152781) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO 54611) |
| 207P00000X Emergency Medicine (Licence: MN 61699) | |
| 207P00000X Emergency Medicine (Licence: PA MD448411) | |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2020-07-07 |