| NPI | 1417958349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 37311) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KY 37311) |
| 207P00000X Emergency Medicine (Licence: KY 37311) | |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2024-01-05 |