| NPI | 1073073144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WY 16953A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 1659325629) |
| Enumeration Date | 2019-03-23 |
| Last Update Date | 2024-08-08 |