| NPI | 1447631627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20a18831) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO TL.0005639) |
| Enumeration Date | 2015-06-14 |
| Last Update Date | 2021-11-15 |