| NPI | 1992142632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 04026) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY TP304) |
| 207P00000X Emergency Medicine (Licence: OH 34.011572) | |
| 207Q00000X Family Medicine (Licence: IN 02006655A) | |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2025-07-18 |