| NPI | 1013358712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 83553) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301103632) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2020-09-21 |