| NPI | 1467899799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 63994) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP02753) |
| 282N00000X General Acute Care Hospital (Licence: MA 266932) | |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2019-08-18 |