| NPI | 1376830091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CT 61914) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 61914) |
| 207R00000X Internal Medicine (Licence: PA MT200500) | |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2018-10-08 |