| NPI | 1083147136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME168949) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 304131) |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2025-02-13 |