| NPI | 1790122893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35.128083) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.022435) |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2018-05-17 |