| NPI | 1245422732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101241266) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD036229) |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2021-06-24 |