| NPI | 1952784662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IA 47074) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 263870) |
| 261QS1000X Clinic/Center, Student Health | |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2024-06-26 |