| NPI | 1912161456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 55603) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.052768) |
| 207R00000X Internal Medicine (Licence: NM A-1544-10) | |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2015-12-14 |