| NPI | 1992141923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0057868) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 054984) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2017-05-03 |