| NPI | 1285648485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0062356) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO R7G48) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2025-04-15 |