| NPI | 1467555623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0058184) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 33034) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2017-12-18 |