| NPI | 1144802174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036.173683) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.173683) |
| 208D00000X General Practice (Licence: IL 036.173683) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2025-07-16 |