| NPI | 1902329741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: KY 60114) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 272462) |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2025-05-19 |