| NPI | 1457347106 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 30525)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 30525)  | 
| Enumeration Date | 2005-09-27 | 
| Last Update Date | 2012-02-22 |