| 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 |