| NPI | 1316158926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PR 16767) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 16767) |
| 208D00000X General Practice (Licence: PR 16767) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2010-06-21 |