| NPI | 1295173151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0055613) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: CO DR.0055613) |
| 207R00000X Internal Medicine (Licence: CO TL0004871) | |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2021-05-13 |