| NPI | 1104370519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036163406) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35.135658) |
| 208M00000X Hospitalist (Licence: IL 036163406) | |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2023-02-13 |