| NPI | 1275844839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 53613) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL32965) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2024-05-10 |