| NPI | 1740417104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 76276) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 76276) |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2009-06-12 |