| NPI | 1215028881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 43583) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR DO27902) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2011-09-29 |