| NPI | 1790715332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 47319) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01062341A) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2021-06-02 |