| NPI | 1609839786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 38154) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AK 5156) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2021-09-29 |