| NPI | 1134121189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR-49665) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME0074258) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2020-04-20 |