| NPI | 1891717385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 38207) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA a63174) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2020-10-09 |