| NPI | 1386006112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 125.069355) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 22917) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2024-10-22 |