NPI | 1205044062 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 66968) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2006013138) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: NE 6462) | |
Enumeration Date | 2007-05-17 |
Last Update Date | 2023-01-26 |