| NPI | 1336567155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0066726) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 131828) |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2021-07-29 |