| NPI | 1962936427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: VA 0101267302) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101267302) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2024-06-19 |