| NPI | 1336638501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0067057) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO TL.0007278) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2024-08-12 |