| NPI | 1629275284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D68942) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC intern) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2017-02-15 |