| NPI | 1770597536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: KY 36451) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 36451) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2011-07-28 |