| NPI | 1083670343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX R3268) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NE 22523) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: IA 35294) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2026-06-05 |