| NPI | 1518028984 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D33815) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD14975) | 
| Enumeration Date | 2006-12-12 | 
| Last Update Date | 2011-11-15 |