| NPI | 1710140868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 03403) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116020732) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2011-09-26 |