| NPI | 1790990976 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 70944) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 54927) | 
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 54927) | |
| Enumeration Date | 2007-05-11 | 
| Last Update Date | 2019-07-17 |