| NPI | 1811428121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 64214) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 64214) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL TPME5609) | |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2023-08-31 |