| NPI | 1639301906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 04232) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.056254.) |
| Enumeration Date | 2009-08-19 |
| Last Update Date | 2024-05-09 |