| NPI | 1497966824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0052999) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 11789) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-20 |