| NPI | 1699958900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR0057561) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10027681) |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2022-01-25 |