| NPI | 1477967958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD045587) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 260779) |
| 207R00000X Internal Medicine (Licence: PA 475210) | |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2021-11-15 |