| NPI | 1720139777 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD31065)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D53689)  | 
| 207R00000X Internal Medicine (Licence: VA 0101231535)  | |
| Enumeration Date | 2007-01-16 | 
| Last Update Date | 2021-06-25 |