| NPI | 1952566895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 47655) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR LL17963) |
| 207Q00000X Family Medicine (Licence: KY TP002) | |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2024-01-23 |