| NPI | 1235333287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301510145) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35091054) |
| 207R00000X Internal Medicine (Licence: CO DR.0068476) | |
| 207RS0010X Internal Medicine, Sports Medicine (Licence: CO DR.0068476) | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2023-11-30 |