| NPI | 1467834077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0068761) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO TL.0005657) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2022-07-21 |