| NPI | 1760681282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 47797) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR LL17146) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2013-10-04 |