| NPI | 1104925023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: KY 38762) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY KY 38762) |
| 207R00000X Internal Medicine (Licence: KY 38762) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2022-08-04 |