| NPI | 1962816108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125065292) |
| 208M00000X Hospitalist (Licence: IL 036142212) | |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2022-07-18 |