| NPI | 1932368909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 246620) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101244616) |
| 207R00000X Internal Medicine (Licence: DC MD037695) | |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2012-10-08 |