| NPI | 1063540045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0083062) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD046196) |
| 207R00000X Internal Medicine (Licence: VA 0101254571) | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2025-01-02 |