| NPI | 1871172288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 83101-20) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125-078965) |
| Enumeration Date | 2021-04-04 |
| Last Update Date | 2024-06-24 |