| NPI | 1336235928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2013010801) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2006001808) |
| 207Q00000X Family Medicine (Licence: IL 036-117466) | |
| 208M00000X Hospitalist (Licence: IL 036-117466) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2019-05-14 |