| NPI | 1144434424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 39532) |
| Additional Taxonomies | 207RS0010X Internal Medicine Sports Medicine (Licence: KY 39532) |
| 208000000X Pediatrics (Licence: KY 39532) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2025-03-21 |