| NPI | 1801209424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR0058846) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101021234) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2026-02-24 |