| NPI | 1669001954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR0070312) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A196835) |
| 207RS0010X Internal Medicine, Sports Medicine (Licence: CA A196835) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2025-04-16 |