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 |