| NPI | 1235861543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME172109) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125079696) |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2025-04-29 |