| NPI | 1710298484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0054256) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0054256) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2014-09-24 |