| NPI | 1972696714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD040632E) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: PA MD040632E) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2019-07-10 |