| NPI | 1861573628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: HI MD-17941) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: VA 0101051315) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2021-05-26 |