NPI | 1003233164 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IL 036.145273) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.145273) |
2080P0205X Pediatrics, Pediatric Endocrinology (Licence: IL 036.145273) | |
208M00000X Hospitalist (Licence: IL 036.145273) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-03-26 |
Last Update Date | 2022-06-19 |