| NPI | 1215541834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY TP553) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY R6439) |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2025-07-17 |