| NPI | 1871631341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2009-02039) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY R1232) |
| Enumeration Date | 2007-02-04 |
| Last Update Date | 2015-07-09 |