| NPI | 1710904404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 001733) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CT 001733) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2008-02-26 |