| NPI | 1902992381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01088634A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR-45861) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2022-11-07 |