| NPI | 1295183465 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 49406) | 
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 65662-20) | 
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35128915) | |
| Enumeration Date | 2016-05-29 | 
| Last Update Date | 2022-10-26 |