| NPI | 1720461494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036148747) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 28994) |
| 207R00000X Internal Medicine (Licence: IL 036148747) | |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2020-01-24 |