| NPI | 1912070111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD035529) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0063390) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2013-03-28 |