| NPI | 1386026821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0062053) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 296189) |
| Enumeration Date | 2015-06-21 |
| Last Update Date | 2021-03-31 |