| NPI | 1053852335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 31543) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0072033) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2023-10-23 |