| NPI | 1992017875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 065202) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036 125285) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2012-09-24 |