| NPI | 1962701524 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: ID O-1997)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA OP60830272)  | 
| 207RI0200X Internal Medicine, Infectious Disease (Licence: WA OP60830272)  | |
| Enumeration Date | 2011-03-22 | 
| Last Update Date | 2024-06-14 |