| NPI | 1053595348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 48393) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 41467) |
| 208M00000X Hospitalist (Licence: TN 48393) | |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2019-01-18 |