| NPI | 1841490695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0057737) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101231257) |
| 207R00000X Internal Medicine (Licence: DC MD33293) | |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |