| NPI | 1053623520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA 151454) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: PR 020638) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2017-12-26 |