| NPI | 1124062427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 42379) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 040556) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CO 42379) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2021-04-22 |