| NPI | 1689687279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD19574) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 188201) |
| 207R00000X Internal Medicine (Licence: CO DR.0068138) | |
| 208000000X Pediatrics (Licence: OR MD19574) | |
| 208000000X Pediatrics (Licence: NY 188201) | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2023-04-03 |