| NPI | 1629362462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036136182) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036136182) |
| 207R00000X Internal Medicine (Licence: IL 125.059520) | |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2018-03-17 |