| NPI | 1619105434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY TP349) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.017875) |
| 207R00000X Internal Medicine (Licence: IL 036-130442) | |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2020-08-04 |