| NPI | 1043310329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 40284) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY TP723) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2012-11-29 |