| NPI | 1013998327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 34513) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 40788) |
| 207P00000X Emergency Medicine (Licence: KY 40788) | |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2025-11-11 |