| NPI | 1770787244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX R1008) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT188931) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 106105) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2019-05-22 |