| NPI | 1790912053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 252110) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 240232) |
| Enumeration Date | 2009-06-14 |
| Last Update Date | 2013-04-24 |