| NPI | 1295397230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: LA 331168) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.074069) |
| 207Q00000X Family Medicine (Licence: LA 331168) | |
| Enumeration Date | 2019-06-29 |
| Last Update Date | 2024-02-07 |