| NPI | 1639189665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 38582) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CO 38582) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: CO 38582) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2026-04-03 |