| NPI | 1033637244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5601008379) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5601008379) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 5601008379) | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2021-02-12 |