| NPI | 1144665860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0066923) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD455643) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2021-10-13 |