| NPI | 1043672686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY TP299) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY R4169) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2019-06-13 |