| NPI | 1609038512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 48029) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 248859) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2021-06-22 |