| NPI | 1386474195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA3446) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY TC193) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY TC193) | |
| Enumeration Date | 2024-08-06 |
| Last Update Date | 2024-10-14 |