| NPI | 1285644146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 44426) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01061473) |
| 207R00000X Internal Medicine (Licence: OH 35.087561) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: KY 44426) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2014-10-08 |