| NPI | 1508029992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101249561) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD038801) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2022-04-08 |