| NPI | 1205217296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2024-01791) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY TP735) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2024-08-15 |