| NPI | 1881868859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 49712) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00049035) |
| Enumeration Date | 2008-04-21 |
| Last Update Date | 2021-06-14 |