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 |