| NPI | 1366763146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 47941) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 32859) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2015-06-08 |