NPI | 1780947424 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 92010) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D83759) |
207R00000X Internal Medicine (Licence: PA MT201952) | |
Enumeration Date | 2012-06-18 |
Last Update Date | 2022-11-14 |