| NPI | 1740860683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036175083) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036175083) |
| 208000000X Pediatrics (Licence: IL 125.080538) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2025-05-28 |