| NPI | 1972702363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL 15871) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI 5287) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2011-10-06 |