| NPI | 1851503833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX T9644) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-121313) |
| 207Q00000X Family Medicine (Licence: IL 036121313) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2026-05-08 |