| NPI | 1144663451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 50055) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY R3534) |
| 207R00000X Internal Medicine (Licence: IN 01088825A) | |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2026-07-29 |