NPI | 1356875405 |
---|---|
Former Name | ILANA MICHELLE ROBERTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: MA 1018455) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA 60766477) |
207RP1001X Internal Medicine Pulmonary Disease (Licence: CA 171596) | |
Enumeration Date | 2017-04-15 |
Last Update Date | 2024-04-11 |