| NPI | 1932338894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036.132124) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-132124) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301094265) | |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2021-04-28 |