NPI | 1609261767 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036147445) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-147445) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-04-05 |
Last Update Date | 2023-10-13 |