| NPI | 1043485212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 0055778) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 17,142) |
| 207R00000X Internal Medicine (Licence: TX p4353) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CO 55778) | |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2019-08-05 |