| NPI | 1962798868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 46996) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125-059975) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2021-12-27 |