| NPI | 1083212765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 36623) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57249958) |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2026-06-24 |