| NPI | 1093160756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 55227) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0062720) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2025-05-07 |