| NPI | 1801083746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY PA785) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: KY PA785) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2021-04-27 |