Individual
THIDA WIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A105869
CA
282N00000X
General Acute Care Hospital
255011
NY
Other
Enumeration date
06/25/2008
Last updated
02/27/2018
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