| NPI | 1407111420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 210528) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10044245) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2015-07-06 |