| NPI | 1881685469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 46128) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 208780) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2014-11-17 |