| NPI | 1518025428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D45460) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD15563) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0101050423) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2011-11-10 |