| NPI | 1891834727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 45219) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CO 45219) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2023-10-03 |