| NPI | 1407922750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD31080) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0053291) |
| 207R00000X Internal Medicine (Licence: VA 0101221074) | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2011-11-18 |