| NPI | 1134324239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 3697) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 02006474A) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2024-02-19 |