| NPI | 1164652624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME127176) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 266431) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 266431) | |
| Enumeration Date | 2009-07-19 |
| Last Update Date | 2020-01-31 |