| NPI | 1316129364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 54716) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 243998) |
| Enumeration Date | 2007-12-01 |
| Last Update Date | 2020-10-07 |