| NPI | 1760549927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: UT 171790-1205) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: UT 171790-1205) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2021-01-15 |