| NPI | 1629235759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD036989) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0092835) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2022-07-18 |