| NPI | 1881685659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR37850) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 319974) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2020-07-22 |