| NPI | 1679615637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 43644) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY R1459) |
| 208000000X Pediatrics (Licence: KY R1459) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2018-11-08 |