| NPI | 1194089516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2019010645) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX Q0295) |
| 207Q00000X Family Medicine (Licence: IL 036.138086) | |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2019-07-31 |