| NPI | 1285787572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101056791) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD21132) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2012-12-06 |