| NPI | 1962818823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036156441) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01079469A) |
| 207Q00000X Family Medicine (Licence: IL 125.064624) | |
| 208M00000X Hospitalist (Licence: IL 036156441) | |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2022-02-02 |