| NPI | 1497983654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0057007) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD13927) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2017-09-19 |