| NPI | 1568433837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 39389) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 39389) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2011-03-31 |