| NPI | 1578816526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101260694) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MTL000030) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2025-05-08 |