| NPI | 1629428099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0064144) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.069264) |
| 208000000X Pediatrics (Licence: IL 125.069264) | |
| 208000000X Pediatrics (Licence: CO DR.0064144) | |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2020-06-17 |