| NPI | 1356753511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0065301) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 18417) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2021-05-20 |