| NPI | 1093972556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 242595) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 247197) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 242595) | |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2013-06-10 |