| NPI | 1063074045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 100435) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.248009) |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2024-12-28 |