| NPI | 1790023166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL 19748) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 274002) |
| Enumeration Date | 2013-01-19 |
| Last Update Date | 2024-05-01 |