| NPI | 1033179817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 49699) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35.075269) |
| 207Q00000X Family Medicine (Licence: WV 22184) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: KY 49699) | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2022-08-10 |