| NPI | 1043438468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 89785) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN MD28816) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2024-05-10 |