| NPI | 1245729128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: CA 20399) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.073017) |
| 207QS1201X Family Medicine, Sleep Medicine (Licence: IL 036.157018) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-05-06 |
| Last Update Date | 2025-07-16 |