| NPI | 1649447228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0076087) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 065580) |
| 207R00000X Internal Medicine (Licence: DC MD038654) | |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2016-07-11 |