| NPI | 1366405870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 51699) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 42648-020) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2021-05-20 |