NPI | 1679852909 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA 20A14750) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A14750) |
207R00000X Internal Medicine (Licence: FL UO2862) | |
Enumeration Date | 2011-08-04 |
Last Update Date | 2022-09-14 |