| NPI | 1245678234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD60659189) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-255295) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD60659189) | |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2019-07-12 |