NPI | 1669000436 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036161922) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036161922) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-03-29 |
Last Update Date | 2024-09-16 |