| NPI | 1619193158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 48561) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2009-00842) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2021-06-04 |