| NPI | 1578824637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ND 15894) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP02639) |
| 208000000X Pediatrics (Licence: RI LP02639) | |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2020-01-09 |