| NPI | 1912959420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR0056972) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD432479) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2017-04-07 |