| NPI | 1518169952 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PR 17481)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 17481)  | 
| Enumeration Date | 2007-06-05 | 
| Last Update Date | 2012-07-23 |