| NPI | 1710150941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 51548) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 002017) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2020-07-30 |