| NPI | 1639176316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 99-00415) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 9900415) |
| 207R00000X Internal Medicine (Licence: MT 12579) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2011-03-10 |