| NPI | 1891043519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA FK5112026) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 60271209) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 271209) | |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2025-08-19 |