| NPI | 1285041228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PR 19372) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 19372) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 19372) | |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2022-05-26 |