| 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 |