| NPI | 1679932115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 0070727) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 30523) |
| 208D00000X General Practice (Licence: NE 30523) | |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2024-09-09 |