| NPI | 1508973629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 106339) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036130865) |
| 207P00000X Emergency Medicine (Licence: MO 106339) | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2024-04-05 |