| NPI | 1174885347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO DR.0063606) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO 0006942) |
| 207R00000X Internal Medicine (Licence: MA 248200) | |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2020-04-13 |