| NPI | 1225195829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 43795) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2005-0447) |
| 207R00000X Internal Medicine (Licence: OH 57.006038) | |
| 207R00000X Internal Medicine (Licence: WA MD00046718) | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2025-11-11 |