| NPI | 1962497511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2020-03709) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 32602) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2022-12-05 |