| NPI | 1104077585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0050446) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.015992) |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2024-02-13 |