| NPI | 1639458813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 4301106938) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PA MT 199449) |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2021-12-10 |