| NPI | 1649780818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 085006296) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085006296) |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2017-11-16 |