| NPI | 1457487514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD12224) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D26331) |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2010-11-05 |