| NPI | 1700923059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO 43791) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 43791) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO DR-43791) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2013-07-12 |