| NPI | 1861835449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D82020) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD044223) |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2021-11-23 |