| NPI | 1649435314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 50324) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC 147629) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2012-05-01 |