| NPI | 1114105004 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 51597) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 51597) | 
| 208000000X Pediatrics (Licence: MN 51597) | |
| Enumeration Date | 2008-02-04 | 
| Last Update Date | 2024-11-26 |