| NPI | 1275820664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101266889) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NC 2014-01432) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2020-08-26 |