| NPI | 1962744409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101026948) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD8153) |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2013-03-22 |