| NPI | 1417136086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 41773) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 049920) |
| 207R00000X Internal Medicine (Licence: OH 35. 072880) | |
| 208D00000X General Practice (Licence: MS 16175) | |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2012-03-08 |