| NPI | 1124009238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 59411) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME84901) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2024-10-16 |