NPI | 1053980508 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036170903) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101280348) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116035364) | |
Enumeration Date | 2021-06-20 |
Last Update Date | 2024-07-09 |