| NPI | 1689013229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0061981) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME131624) |
| 207R00000X Internal Medicine (Licence: SC 35972) | |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2019-08-13 |