| NPI | 1912160995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2011-01108) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125-054835) |
| 208M00000X Hospitalist (Licence: NC 2011-01108) | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2016-04-14 |