| NPI | 1700224664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 4626) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: CO DR.0053938) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2016-09-01 |