| NPI | 1043553753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0074911) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 58960) |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2025-08-12 |