| NPI | 1568704856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036139858) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: IL 036139858) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2019-05-23 |