| 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 |