| NPI | 1710997580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD039954) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101284475) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2026-05-27 |