| NPI | 1962932079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.151375) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.149563) |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2025-08-04 |