| NPI | 1790775930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 137310) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 137310) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2012-10-10 |