| NPI | 1639335821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0047854) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA ML60019796) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2024-12-31 |