| NPI | 1255474037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 74283) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 74283) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2007-07-08 |