| NPI | 1164786604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2015007390) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2015007390) |
| 207Q00000X Family Medicine (Licence: IL 125061873) | |
| 208M00000X Hospitalist (Licence: IL 036137228) | |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2021-08-25 |