| NPI | 1215202619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 191702) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 191702) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 191702) | |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2012-03-19 |