| NPI | 1932366432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: KY 41193) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 41193) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2023-03-29 |