| NPI | 1730590423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 50624) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY Tp994) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2020-10-06 |