| NPI | 1093784357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR0058855) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 10312) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2017-06-21 |