| NPI | 1326037094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 51313) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101235743) |
| 207R00000X Internal Medicine (Licence: DC MD034719) | |
| 207R00000X Internal Medicine (Licence: OH 35-095245) | |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2016-06-30 |