| NPI | 1639565963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PR 19955) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 19955) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2020-12-21 |