| NPI | 1538617964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: UT 5572357-4405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 5572357-4405) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2019-12-04 |