| NPI | 1982917886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 286559-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC md042047) |
| 207R00000X Internal Medicine (Licence: VA 0101256083) | |
| 207R00000X Internal Medicine (Licence: MD D76147) | |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2021-09-23 |