| NPI | 1265060768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 73574) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME157931) |
| 207R00000X Internal Medicine (Licence: FL TRN30660) | |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2026-09-02 |