| NPI | 1063031664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2024033139) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0073398) |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2025-09-08 |