| NPI | 1386990216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 67521) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 63058) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2021-08-18 |