| NPI | 1568755916 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX T7678)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP1-0040902)  | 
| Enumeration Date | 2011-05-18 | 
| Last Update Date | 2022-06-13 |