| NPI | 1265421150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0062710) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD068642L) |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2021-01-21 |