| NPI | 1457794075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD6109183) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0056579) |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2020-11-18 |