| NPI | 1649836206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 59127) |
| Additional Taxonomies | 208D00000X General Practice (Licence: KY R5720) |
| Enumeration Date | 2019-05-18 |
| Last Update Date | 2024-04-05 |