| NPI | 1952838039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0064486) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 0006496) |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2021-06-22 |