| NPI | 1427534676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS17300) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL OS17300) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207Q00000X Family Medicine (Licence: FL 6312) | |
| 207Q00000X Family Medicine (Licence: KY TP548) | |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2023-05-16 |