| NPI | 1861871949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 310729) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036169639) |
| 208M00000X Hospitalist (Licence: IL 036169639) | |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2024-05-01 |