| NPI | 1063585347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D41945) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A52364) |
| 207R00000X Internal Medicine (Licence: DC MD19062) | |
| 207R00000X Internal Medicine (Licence: VA 0101058767) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2021-12-07 |