| NPI | 1164684379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 077760) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL C6454) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35123764) | |
| Enumeration Date | 2008-06-29 |
| Last Update Date | 2020-04-14 |