| NPI | 1982259917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KS 04-53204) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2019026651) |
| 208000000X Pediatrics (Licence: MO 2019026651) | |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2026-07-28 |