| NPI | 1194258053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101278319) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD046954) |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2026-05-11 |