| NPI | 1053302117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NY 182445) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 182445) |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2022-10-04 |