| NPI | 1124681374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0069015) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MT 134208) |
| 207R00000X Internal Medicine (Licence: ID 2035) | |
| 207R00000X Internal Medicine (Licence: AZ 72007) | |
| 207R00000X Internal Medicine (Licence: CA 3236) | |
| 207R00000X Internal Medicine (Licence: KS 0447525) | |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2024-09-16 |