| NPI | 1750320727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2011-01932) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-085729) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2021-05-24 |