| NPI | 1558711101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036151710) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.151710) |
| 208000000X Pediatrics (Licence: IL 125.069373) | |
| 208000000X Pediatrics (Licence: IL 036.151710) | |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2020-08-03 |