| NPI | 1851429690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VT 042.0012816) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD036611) |
| 207R00000X Internal Medicine (Licence: WA MD60097715) | |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2014-12-04 |