| NPI | 1386178424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 04603) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KY 04603) |
| Enumeration Date | 2017-04-15 |
| Last Update Date | 2025-01-16 |