| NPI | 1588721112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101235554) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD040039) |
| 207R00000X Internal Medicine (Licence: MD D0072311) | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2011-11-30 |