| NPI | 1932761772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 96401) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 34777) |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2026-07-21 |