| NPI | 1629331319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA OS018684) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT014734) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2017-06-14 |