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 |