| NPI | 1396420659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 82343) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND 19966) |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2026-05-29 |