| NPI | 1093210338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 55585) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY R4793) |
| 207Q00000X Family Medicine (Licence: TN 68878) | |
| 207P00000X Emergency Medicine (Licence: KY R4793) | |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2024-04-09 |