| NPI | 1962582981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 44745) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.080191) |
| 207R00000X Internal Medicine (Licence: CO 47849) | |
| 207L00000X Anesthesiology (Licence: AZ 44745) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-10-02 |