| NPI | 1356553879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 47832) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 77364) |
| 208000000X Pediatrics (Licence: CO 47832) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2023-11-09 |