| NPI | 1538154687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 44680) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 35596) |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2020-05-12 |