| NPI | 1750906418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 58610) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351046239) |
| 207R00000X Internal Medicine (Licence: KY TP678) | |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2023-10-25 |