NPI | 1619355229 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: NY 307917) |
Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease (Licence: PA MD471601) |
Enumeration Date | 2015-05-14 |
Last Update Date | 2021-08-05 |