| NPI | 1942228762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR-44816) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 44816) |
| 207R00000X Internal Medicine (Licence: CO DR-44816) | |
| 207R00000X Internal Medicine (Licence: NE 23099) | |
| 208000000X Pediatrics (Licence: CO 44816) | |
| 208000000X Pediatrics (Licence: NE 23099) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2023-09-05 |