| NPI | 1801139225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME140465) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD 9138) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2019-07-10 |