| NPI | 1689632747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G56733) |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease (Licence: CA G56733) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2007-07-09 |