| NPI | 1215202585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A13909) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.060801) |
| 208M00000X Hospitalist (Licence: CA 13909) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2026-01-12 |