| NPI | 1831777622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0073540) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NV DO3652) |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2024-06-27 |