| NPI | 1003969536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0060999) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD034611) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2018-08-28 |