| NPI | 1043460751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 2685) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 03547) |
| 207Q00000X Family Medicine (Licence: WV 2498) | |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2021-05-20 |