| NPI | 1104902600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0055376) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD31662) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2017-03-17 |