NPI | 1124768700 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR0073225) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO TL.0009256) |
Enumeration Date | 2022-03-31 |
Last Update Date | 2025-06-05 |