| NPI | 1366837494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR0058379) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR0058379) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2025-08-12 |