| NPI | 1720391915 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX U5131) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD P25847) | 
| Enumeration Date | 2010-07-16 | 
| Last Update Date | 2023-08-21 |