| NPI | 1134171317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 39659) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 39659) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2022-07-21 |