| NPI | 1295737526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 39949) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CO 39949) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2014-11-19 |