| NPI | 1114365624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 61032) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO 0058871) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2022-03-28 |