| NPI | 1912045527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 41666) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY R0997) |
| 208000000X Pediatrics (Licence: KY R0997) | |
| 208000000X Pediatrics (Licence: KY 41666) | |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2023-02-14 |