| NPI | 1902182157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD042921) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 263373) |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2015-10-27 |