| NPI | 1720090632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA C134429) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA ML20007296) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2019-11-07 |