| NPI | 1598718652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR47153) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME69405) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2011-04-21 |