| NPI | 1871118083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.166168) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036166168) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2023-12-11 |