| NPI | 1063790244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WA MD60639860) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60639860) |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2023-12-04 |