| NPI | 1790214401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CO DR.0068277) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-10889) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.0008000) | |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2022-05-20 |