| NPI | 1417151911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301087292) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 43420) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2023-11-27 |