| NPI | 1275511164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0068539) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 44174) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2022-05-02 |