| NPI | 1124183462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD 052292) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101056366) |
| 207R00000X Internal Medicine (Licence: DC MD30480) | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2021-06-06 |