| NPI | 1902880669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 14885) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 35497) |
| 207R00000X Internal Medicine (Licence: CA C52744) | |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2016-08-18 |