| NPI | 1114105004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| 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 | 2015-05-29 |