| NPI | 1023377587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0059341) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA OP60558008) |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2017-12-14 |