| NPI | 1851503858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0103785) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 48509) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2025-08-08 |