| NPI | 1851493894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 32053) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WY 5349A) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2024-09-30 |