NPI | 1679992549 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 293980) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 305705) |
207R00000X Internal Medicine (Licence: LA PGY.202453) | |
207R00000X Internal Medicine (Licence: NY 293980-1) | |
Enumeration Date | 2014-04-08 |
Last Update Date | 2021-12-20 |