| NPI | 1891771382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 44387) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A067008) |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2008-02-11 |