| NPI | 1477598241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 86590) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A107180) |
| 207P00000X Emergency Medicine (Licence: IL 036114228) | |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2026-06-01 |