| NPI | 1215348222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 57917) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD178862) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2024-05-10 |