| NPI | 1770531444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 27960) |
| Additional Taxonomies | 174400000X Specialist (Licence: KY 27960) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2009-08-25 |