| NPI | 1861808933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME167421) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WV 27628) |
| 207R00000X Internal Medicine (Licence: MI 4301106078.) | |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2024-08-16 |