| NPI | 1124253133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 45198) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 35461) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2021-10-11 |