| NPI | 1912261926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD60825831) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R73507) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2018-08-31 |