| NPI | 1083148464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 70234-20) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036.152795) |
| 207P00000X Emergency Medicine (Licence: WI 70234-20) | |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2026-06-09 |