| NPI | 1689758393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR-31966) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AK 4398) |
| 207R00000X Internal Medicine (Licence: WA MD00039236) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-07-09 |