| NPI | 1316921265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D51650) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101055147) |
| 207R00000X Internal Medicine (Licence: DC MD30084) | |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2021-06-22 |