| NPI | 1689021990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 286047) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP03607) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 278510) | |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2021-11-16 |