| NPI | 1376906982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX U9033) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0062115) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: CO DR.0062115) | |
| 208D00000X General Practice (Licence: CO DR.0062115) | |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2024-05-29 |