| NPI | 1942483797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SD 8735) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: OH 57-012863) |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2013-07-17 |