| NPI | 1962532721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 43348) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C54102) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2010-12-02 |