| NPI | 1598438137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036172001) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.172001) |
| 207RA0000X Internal Medicine, Adolescent Medicine (Licence: IL 036.172001) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2024-11-18 |