| NPI | 1053009167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0077330) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.082111) |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2026-06-17 |