| NPI | 1013930759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 33224) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 33224) |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: KY 33224) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2015-09-16 |