| NPI | 1487793592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D66378) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: MD RES000) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2019-05-04 |