| NPI | 1376578187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0051961) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 54785) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2017-11-09 |