| NPI | 1164726998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WV 26271) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT196145) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35125980) | |
| Enumeration Date | 2011-01-09 |
| Last Update Date | 2015-08-19 |