| NPI | 1528149523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 53536) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200301139) |
| 207R00000X Internal Medicine (Licence: MN 49330) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2023-03-07 |