| NPI | 1902059652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 42568) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036122646) |
| 207R00000X Internal Medicine (Licence: IL 036.122646) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125-052075) | |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2023-10-19 |