| NPI | 1205892239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0039849) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO 39849) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2015-07-28 |