NPI | 1679935621 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0070746) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 267337) |
207R00000X Internal Medicine (Licence: PA MD467065) | |
Enumeration Date | 2016-03-28 |
Last Update Date | 2024-01-30 |