| NPI | 1376773838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 054132) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 240680) |
| Enumeration Date | 2009-07-19 |
| Last Update Date | 2021-05-21 |