| NPI | 1598965212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 49949) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116019715) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2021-06-07 |