| NPI | 1790046910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WA MD60927624) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 59405) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2019-08-09 |