| NPI | 1740423417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TN 47524) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.015230) |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2025-09-17 |