| NPI | 1568643211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036122610) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036122610) |
| 261QP2300X Clinic/Center, Primary Care (Licence: IL 036122610) | |
| Enumeration Date | 2007-11-23 |
| Last Update Date | 2023-12-01 |