| NPI | 1760484299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2007-01007) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 38359) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2015-02-05 |