| NPI | 1619317963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL 38091) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS T-2648) |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2019-07-18 |