| NPI | 1659862464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0102206610) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL51967) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2023-03-04 |