| NPI | 1437312311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 47495) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY R2530) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2023-03-24 |