| NPI | 1962896381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD486435) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 273521) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD486435) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 83180) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 83180) | |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2024-10-08 |