| NPI | 1861519241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 36823) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 36823) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2022-12-28 |