| NPI | 1104278381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0059658) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO TL.0006063) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2019-05-15 |