| NPI | 1275954927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0060821) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 275582-1) |
| Enumeration Date | 2013-12-25 |
| Last Update Date | 2018-09-19 |