| NPI | 1326049016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 49398) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SD 5464) |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2015-12-21 |