| NPI | 1700018298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 45620) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301094053) |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2013-10-17 |