| NPI | 1740819804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 58442) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY TP722) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2023-09-22 |