| NPI | 1649229352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2016-01441) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: KY 160) |
| 207Q00000X Family Medicine (Licence: KY 31950) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: KY 31950) | |
| 207V00000X Obstetrics & Gynecology (Licence: OH 35070033J) | |
| 207V00000X Obstetrics & Gynecology (Licence: KY 31950) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2023-09-21 |