| NPI | 1609031210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 276364) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.012785) |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2021-12-20 |