| NPI | 1982679072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 112187) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-110429) |
| 207P00000X Emergency Medicine (Licence: MO 112187) | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2017-04-06 |