| NPI | 1255646931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0057780) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R72019) |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2016-11-30 |