| NPI | 1497161764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 49854) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 49854) |
| 207R00000X Internal Medicine (Licence: KY 49854) | |
| 208M00000X Hospitalist (Licence: KY 19854) | |
| 208M00000X Hospitalist (Licence: KY 49854) | |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2021-03-17 |