NPI | 1174898357 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD461721) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA A130121) |
Enumeration Date | 2012-03-20 |
Last Update Date | 2020-01-10 |