| NPI | 1851354401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 25071) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 25071) |
| 207P00000X Emergency Medicine (Licence: KY 2501) | |
| 207R00000X Internal Medicine (Licence: KY 2501) | |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2021-01-16 |