| NPI | 1508325440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 56780) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 56780) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2025-08-29 |