| NPI | 1619138682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036127381) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036127381) |
| 207Q00000X Family Medicine (Licence: MO 2011035523) | |
| Enumeration Date | 2008-06-22 |
| Last Update Date | 2021-10-06 |