| NPI | 1790976405 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA MD.203082)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 16063)  | 
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA MD.203082)  | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD448130)  | |
| Enumeration Date | 2007-08-07 | 
| Last Update Date | 2015-07-17 |