| NPI | 1982090122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA 174331) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 66974-20) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2021-10-15 |