| NPI | 1790222636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101265175) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101265175) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101265175) | |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2025-07-30 |