| NPI | 1003908344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0067634) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 160523) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2022-08-23 |