| NPI | 1477872307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 03497) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL DO1378) |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2017-11-14 |