| NPI | 1912161357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY R1628) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ND 15853) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2023-04-17 |