| NPI | 1508247594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME159555) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD470313) |
| 207R00000X Internal Medicine (Licence: MI 4301108153) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 2856) | |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2025-10-09 |