| NPI | 1932165396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0060100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD034303) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2011-10-31 |