| NPI | 1902034564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 79170) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 79170) |
| 207R00000X Internal Medicine (Licence: VA 37165) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 37165) | |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2009-06-22 |