| NPI | 1033343728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: TN 52004) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 44474) |
| 207Q00000X Family Medicine (Licence: TN 52004) | |
| 208M00000X Hospitalist (Licence: KY 44474) | |
| 208M00000X Hospitalist (Licence: TN MD52005) | |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2020-05-28 |