| NPI | 1902845332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 38877) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KY 38877) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2008-04-28 |