| NPI | 1972619161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 11968) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0032091) |
| 207R00000X Internal Medicine (Licence: DC MD30474) | |
| 207R00000X Internal Medicine (Licence: VA 0101057461) | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2007-07-12 |