| NPI | 1700812237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00034792) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0071923) |
| 207R00000X Internal Medicine (Licence: MA 1017900) | |
| 207R00000X Internal Medicine (Licence: AZ 70648) | |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2024-02-27 |