| NPI | 1538680590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME173120) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MS 29694) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2025-10-10 |