| NPI | 1740485929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 50029) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125048443) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2017-06-07 |