| NPI | 1821054776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX L6806) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: OK 35500) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2023-03-14 |