| NPI | 1265594865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D53276) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101057489) |
| 207R00000X Internal Medicine (Licence: DC MD035168) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2012-02-14 |