| NPI | 1124912886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 125.085898) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.085898) |
| 208600000X Surgery (Licence: IL 125.085898) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2025-06-06 |
| Last Update Date | 2025-07-28 |