| NPI | 1124177829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A103438) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 258130) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2024-08-01 |