| NPI | 1891929824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 03196) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 03196) |
| 208D00000X General Practice (Licence: IN 02003204A) | |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2023-03-07 |