| NPI | 1912293176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA 60947044) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036137434) |
| 207P00000X Emergency Medicine (Licence: IL 125060118) | |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2019-09-15 |