| NPI | 1417019472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101230781) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D61207) |
| 207R00000X Internal Medicine (Licence: DC MD33859) | |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2021-06-12 |