| NPI | 1609167709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 58569) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2014-01314) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2022-07-21 |