| NPI | 1811598907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0071858) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO Tl0098370) |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2023-08-31 |