| NPI | 1457381964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 35589) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO 35589) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2011-09-01 |