| NPI | 1588288013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0071153) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T8530) |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2023-07-06 |