NPI | 1174150601 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036165523) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
208000000X Pediatrics (Licence: IL 036.165523) | |
Enumeration Date | 2020-03-25 |
Last Update Date | 2024-02-01 |