| NPI | 1558775049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0056507) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: CO DR.0056507) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2022-07-21 |