| NPI | 1770883522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: KY 03817) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT012529) |
| 207R00000X Internal Medicine (Licence: MD H71870) | |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2015-07-20 |