| NPI | 1063658623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: KY 44007) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 92500) |
| Enumeration Date | 2008-12-31 |
| Last Update Date | 2023-03-23 |