| NPI | 1649591686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 45916) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY R2388) |
| 207R00000X Internal Medicine (Licence: FL TRN15210) | |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2021-01-22 |