| NPI | 1770731911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D72632) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY C3140) |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2024-10-16 |