| NPI | 1114017795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NM 2019-0593) |
| Additional Taxonomies | 174400000X Specialist (Licence: NM 2019-0593) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: CO 40527) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2021-07-14 |