| NPI | 1225443823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A144208) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY TP143) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2025-10-27 |