| NPI | 1841428554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 47978) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 251129) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2015-07-07 |