| NPI | 1538170717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 177893) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY TP385) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2018-12-13 |