| NPI | 1972900355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D92801) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD044250) |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2022-09-06 |