| NPI | 1063562817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0057981) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101231548) |
| 207R00000X Internal Medicine (Licence: DC MD33160) | |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2022-01-07 |