| NPI | 1154390474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0040656) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 206336) |
| 208000000X Pediatrics (Licence: CO 77106) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2023-11-09 |