| NPI | 1447256458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 28009) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 28009) |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2021-04-13 |