| NPI | 1871906974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: UT 10290332-1205) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM MD2023-1368) |
| 207Q00000X Family Medicine (Licence: CO CDRH.0056975) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: CO DR.0056975) | |
| 208M00000X Hospitalist (Licence: CO CDRH.0056975) | |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2023-11-03 |