| NPI | 1750694626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 299006) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME150194) |
| 208D00000X General Practice (Licence: PR 020248) | |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2024-10-09 |