| NPI | 1285854208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 50263) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 201000556) |
| 208000000X Pediatrics (Licence: NC 201000556) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2021-05-13 |