| NPI | 1083775993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 40653) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 40653) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-10-19 |