| NPI | 1922122993 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 41523)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 41523)  | 
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 135961)  | |
| 207R00000X Internal Medicine (Licence: NY 135961)  | |
| Enumeration Date | 2007-03-16 | 
| Last Update Date | 2023-03-07 |