| NPI | 1043358914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 33577) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 33577) |
| 207P00000X Emergency Medicine (Licence: IL 036-081304) | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2023-05-24 |