| NPI | 1568805869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: KY 55374) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 56159) |
| 208000000X Pediatrics (Licence: TN 56159) | |
| 2080H0002X (Licence: KY 55374) | |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2021-06-28 |