| NPI | 1699071266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MO 2011009282) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036127279) |
| 208D00000X General Practice (Licence: IL 036127279) | |
| 208D00000X General Practice (Licence: TX N8305) | |
| 207P00000X Emergency Medicine (Licence: MO 2011009282) | |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2026-02-16 |