| NPI | 1306455134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0075008) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT226915) |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2025-08-20 |