| NPI | 1831355510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 43840) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.012678) |
| 207R00000X Internal Medicine (Licence: KY TP390) | |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2018-03-21 |