| NPI | 1275629024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WY 9430A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 8583747-1205) |
| 207R00000X Internal Medicine (Licence: CO DR.0055895) | |
| 207R00000X Internal Medicine (Licence: NV 14098) | |
| 207R00000X Internal Medicine (Licence: AZ 31998) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2022-07-21 |