| NPI | 1861693772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301091877) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301091877) |
| 225100000X Physical Therapist (Licence: MI 5501010517) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2021-08-31 |