| NPI | 1548674559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SD 10593) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO TL0005024) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2018-05-02 |