| NPI | 1952300485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR-52212) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036100498) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2013-11-11 |