| NPI | 1336348929 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35.000315)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 246134)  | 
| 207R00000X Internal Medicine (Licence: GA 062575)  | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ 25MA09444900)  | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY P83454)  | |
| Enumeration Date | 2007-07-13 | 
| Last Update Date | 2023-02-01 |