| NPI | 1578708228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ND 12817) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 49759) |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2022-04-04 |