| NPI | 1396954178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 295692-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0053070) |
| 207R00000X Internal Medicine (Licence: MA 208850) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2019-10-01 |