| NPI | 1760815872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NE 31541) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57022445) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2019-07-10 |