| NPI | 1477087146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0064932) |
| Additional Taxonomies | 208600000X Surgery (Licence: CO 64932) |
| 208D00000X General Practice (Licence: FL 146220) | |
| 208D00000X General Practice (Licence: TX T2200) | |
| 208D00000X General Practice (Licence: CO 0064932) | |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2024-01-02 |