| NPI | 1992063515 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MO 2019029123) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C1-0011357) | 
| Enumeration Date | 2012-05-02 | 
| Last Update Date | 2019-09-11 |