| NPI | 1124438866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD13013) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: DC MD13013) |
| Enumeration Date | 2014-05-03 |
| Last Update Date | 2016-01-25 |