| NPI | 1952541203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 45030) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 45030) |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2019-07-11 |