| 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 |