| NPI | 1528251873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301511266) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 48229) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2024-04-29 |