| NPI | 1225266422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036-130805) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-130805) |
| 207Q00000X Family Medicine (Licence: IL 125056962) | |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2021-12-09 |