| NPI | 1801173901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD60639206) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A118637) |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2018-08-08 |