| NPI | 1902151483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036137012) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.062461) |
| 208M00000X Hospitalist (Licence: IL 036137012) | |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2015-03-16 |