| NPI | 1841581071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0061092) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WY 10182A) |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2019-11-04 |