| NPI | 1881077592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 1017404) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A14214) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IL 036143498) | |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2024-03-28 |