| NPI | 1689783102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD20448) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0043699) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2019-11-04 |