| NPI | 1497160311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR0058377) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101021422) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2019-01-10 |