| NPI | 1164678751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2011-01812) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101245796) |
| 207R00000X Internal Medicine (Licence: DC MD038867) | |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2013-04-04 |