| NPI | 1063857969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0060942) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 266294) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2018-10-03 |