| NPI | 1063495034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA 60363615) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WY 6074A) |
| 207R00000X Internal Medicine (Licence: CO DR.0050547) | |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2023-12-26 |