| NPI | 1194257154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036155636) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036155636) |
| 208000000X Pediatrics (Licence: IL 036155636) | |
| 208M00000X Hospitalist (Licence: WI 75605) | |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2022-07-15 |