| NPI | 1548305386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 42864) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11013509) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2024-11-13 |