| NPI | 1518490887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR063589) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WY tl8218) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2024-06-19 |