| NPI | 1093247041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 60004) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 73000) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2024-10-29 |