| NPI | 1306931159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2022041404) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: IL 03677129) |
| 207P00000X Emergency Medicine (Licence: IL 036-077129) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2023-05-25 |