| NPI | 1366963779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.72773) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61156249) |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2024-10-15 |