| NPI | 1164573291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 49226) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 238613) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2023-03-07 |