| NPI | 1871152520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 82250) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL82250) |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2026-09-08 |