| NPI | 1982605689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR DO25964) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036112215) |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2011-04-05 |