NPI | 1063032415 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036164875) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207R00000X Internal Medicine (Licence: IL 036164875) | |
Enumeration Date | 2020-04-25 |
Last Update Date | 2024-06-12 |