| NPI | 1558520601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD038291) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101246558) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35.144281) | |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2023-04-04 |