| NPI | 1508247602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036154724) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036154724) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10052876) | |
| 207R00000X Internal Medicine (Licence: TX S2145) | |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2021-08-11 |