| NPI | 1649492513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 45876) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 946186) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2021-07-07 |