| NPI | 1992065130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD465822) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-137182) |
| 207Q00000X Family Medicine (Licence: IL 036-137182) | |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2023-02-28 |