| NPI | 1992149918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD61271335) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0058081) |
| Enumeration Date | 2013-04-21 |
| Last Update Date | 2022-04-08 |