| NPI | 1881879260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 89364) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD037109) |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2019-10-07 |