| NPI | 1619400439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL 16838) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: TN 5335) |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2026-06-29 |