| NPI | 1255934014 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 75397)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A189776)  | 
| Enumeration Date | 2020-11-16 | 
| Last Update Date | 2025-10-09 |