| NPI | 1841369154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 02486) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY 02486) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2021-05-21 |