| NPI | 1861704181 |
|---|---|
| Former Name | IRIDA HASALLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CT 56841) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: KY 48240) |
| 207R00000X Internal Medicine (Licence: KY 48240) | |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2018-04-06 |