| NPI | 1417396672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME115948) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME 115948) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2020-10-29 |