| NPI | 1932300621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A118408) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0059122) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2024-09-05 |