| NPI | 1326433699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME143796) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 64166) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2021-03-17 |