| NPI | 1477063790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY TC651) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY TC651.) |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2022-07-25 |