| NPI | 1003989377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D57400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD034172) |
| 207R00000X Internal Medicine (Licence: GA 032064) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2011-11-30 |