| NPI | 1275794133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101248354) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD038994) |
| 207R00000X Internal Medicine (Licence: MD D75261) | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2014-09-16 |