| NPI | 1356597512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 90217) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC 137148) |
| 207R00000X Internal Medicine (Licence: SC 40488) | |
| 207R00000X Internal Medicine (Licence: DC MD038155) | |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2022-01-12 |