NPI | 1841688496 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207PS0010X Emergency Medicine, Sports Medicine (Licence: IL 096003918) |
Additional Taxonomies | 207PS0010X Emergency Medicine, Sports Medicine (Licence: MO 2013005311) |
Enumeration Date | 2015-01-06 |
Last Update Date | 2015-01-06 |