| NPI | 1063154219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AR PA-1072) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AR PA-1072) |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2023-05-03 |