| NPI | 1740363589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME131755) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101254495) |
| 208D00000X General Practice (Licence: PR 16598) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2018-02-06 |