| NPI | 1639476633 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35.094602) | 
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 32518) | 
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NV 13390) | |
| Enumeration Date | 2011-02-28 | 
| Last Update Date | 2016-11-10 |