| NPI | 1023228947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0055185) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101840456) |
| 207R00000X Internal Medicine (Licence: DC MD32209) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2009-07-29 |