| NPI | 1598811259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD31634) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0054012) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2021-06-13 |