| NPI | 1366654634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101247772) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2006-00928) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2018-05-25 |