| NPI | 1659509461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME135021) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 53146020) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101257479) | |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2018-04-14 |