| NPI | 1598964967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC MD037599) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101242135) |
| 207R00000X Internal Medicine (Licence: MD D0067311) | |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2011-03-02 |