| NPI | 1497868723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0043395) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-068017) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2021-09-30 |