| NPI | 1497285647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0066355) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 281762) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2021-08-04 |