| NPI | 1740227610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: KY 40198) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35082412) |
| 207R00000X Internal Medicine (Licence: KY 40198) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2013-05-23 |