| NPI | 1982605465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 33250) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: KY 33250) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2023-03-02 |