| NPI | 1376754663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 44810) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35089758) |
| 208000000X Pediatrics (Licence: OH 35089758) | |
| 208000000X Pediatrics (Licence: KY 44810) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2024-04-12 |