| NPI | 1558655399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 65134) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT199721) |
| 207R00000X Internal Medicine (Licence: PA MD451931) | |
| 207R00000X Internal Medicine (Licence: MO 2015014459) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2015014459) | |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2024-06-07 |