| NPI | 1851751408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A162664) |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease (Licence: CA A162664) |
| 208D00000X General Practice (Licence: PR 31916R) | |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2020-06-29 |