| NPI | 1881760569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 134107) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 045553) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2023-03-07 |