| NPI | 1356579569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX P4212) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: OK 30911) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2021-10-19 |