| NPI | 1275566317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.126806) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 28332) |
| 207P00000X Emergency Medicine (Licence: IL 036.126806) | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2024-02-02 |