| NPI | 1922059740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 50072) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 052613) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2020-03-24 |