| NPI | 1750671335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 54902) |
| Additional Taxonomies | 174400000X Specialist |
| 282N00000X General Acute Care Hospital (Licence: IL 036.132693) | |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2024-12-09 |