| NPI | 1386771954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2023-1249) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 37019) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2023-11-07 |