| NPI | 1104112259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 48145) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301098935) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2020-03-13 |