| NPI | 1770787210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N0070) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD036554) |
| 207R00000X Internal Medicine (Licence: VA 0101240182) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2012-08-04 |